These findings are repeated over and over in every single diabetic
forum on the internet. Yet Doctors are refusing to prescribe test strips
in what can only be regarded as a short-sighted and cost conscious
fashion. Whilst those who can afford it can purchase the test strips to
educate themselves, those who cannot are simply being denied a very simple
means of being in charge of their own health and preventing future
complications.
We used an identical treatment algorithm for dietary and
pharmacological management of glycaemia for both groups based on HbA1c
targets (figure 1)Go. Blood concentrations of HbA1c, lipids, and
electrolytes were measured at or before each clinic and results were
discussed with patients in the context of the treatment targets.
Measurement of HbA1c was performed in the local hospital laboratory with a
diabetes control and complications trial (DCCT) aligned HbA1c assay.2 All
laboratories participated in HbA1c external quality assurance, which was
satisfactory for the duration of the study. All other laboratory tests
were also performed in the local hospital laboratory, where staff were
blinded to treatment allocation.
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